White House pushes uncertain bid to revive health care bill

So moderates can claim they are protecting people with preexisting conditions.

As of now, the broader conference is not aware of what the new health care blueprint is, suggesting that things are very much in the air.

Despite rolling back key pillars of Obamacare, the House bill still generated fierce resistance from many conservative lawmakers, who said it did not go far enough.

The extremely conservative House Freedom Caucus, which successfully scuttled the first failed plan, are working with the Tuesday Group, a slightly less right-wing faction of the House Republican conglomerate.

"They have yet another agreement in principle, but no final legislative language", the member toldCNN.

"We have our list of priorities", Mulvaney said at an event hosted by the Institute of International Finance. "This will be done in 2017, that is our time line, we would like to get it done as soon as possible", Ryan told reporters during a visit to London that was part of a multi-nation trip aimed at strengthening USA economic and security ties with North Atlantic Treaty Organisation allies.

The White House is anxious to pass legislation quickly, partly because Trump will likely hit his 100th day in office without a having signed a major piece of legislation.

But there are significant obstacles.

Trump forces his staff and Republicans in Congress to spend energy trying to construct in the real world the alternate reality that exists in his head, even when their energies would be best directed elsewhere - for example, toward trying to reach an agreement on a bill to prevent the government shutdown that will occur, absent legislation, on April 29.

Conservatives seem to be more on board with the plan, according to the report, but at the cost of moderate votes. (The Freedom Caucus) said yes to him. The GOP measure as it stands would instead allow states to spell out essential health benefits.

Republicans will move on to tax reform in the event of another health bill failure, health-care analyst Kim Monk said Friday.

The elimination of premiums for pre-existing conditions is among the most popular elements of the Affordable Care Act.

The amendment would keep the federal mandate that insurers provide "essential health benefits" that include maternity, mental health care and other types of coverage. One phrase in particular from the description on MacArthur's own Facebook page is worth considering (italics mine): "States have the option to obtain a waiver from some federal standards, but the state must attest that its goal is to reduce the cost of health care or increase the number of people with health care coverage".

According to a draft of the amendment obtained by Politico, the plan allows states to apply for "limited waivers" to opt out of Obamacare insurance mandates-a change created to address conservatives' concerns with the legislation. Indeed, moderates have pushed back against the idea of allowing states to opt out of the community rating provision, The Hill notes. States could request an exemption from the existing health law's "community rating" rule meant to ensure that people with preexisting conditions could not be charged prohibitive premiums - but only if those states establish a high-risk insurance pool where such consumers could purchase government-subsidized insurance. Several GOP governors in states that expanded Medicaid to low-income adults were pushing representatives to revise these provisions in the House bill.

Sound familiar? A bill crafted by a small subset of House Republicans?

The nation's top medical groups, including the American Medical Association and the American Hospital Association, also have rejected the GOP's "repeal and replace" bill. Remember, it took Obamacare 17 months.

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